Individual
DR. SCOTT L FAHRNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
HELIX: 30 N MARIO CAPECCHI DR RM 2S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Mailing address
HELIX: 30 N MARIO CAPECCHI DR RM 2S200, SALT LAKE CITY, UT 84112
(801) 581-2121
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
46553
CO
207L00000X
Anesthesiology Physician
EC-05-1025
ME
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
13891662-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47100087
—
CO
01
—
P00699663
RAILROAD MEDICARE
CO
Enumeration date
10/17/2006
Last updated
04/11/2024
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